Early and Late Results of Surgical Treatment for Ventricular Septal Rupture With and Without Use of the Infarction Exclusion Technique-Experience With Two- and Three-Sheet Modification

Abstract

The two-sheet method facilitates the restoration of ventricular geometry. A double-patch using the three-sheet method may be useful for reducing residual shunt.

Surgery of postinfarction ventricular septal rupture: The effect of David infarct exclusion versus Daggett direct septal closure on early and late outcomes

“…Owing to the low incidence and the acute and dramatic course of the disease, randomized studies are difficult to perform. A few retrospective studies have included both David and Daggett techniques [16][17][18][19][20] ; however, the role of the repair method per se was not the focus. In a recent retrospective study, Kaneda and colleagues 18 reported on 33 patients who underwent the Daggett (n ¼ 14), David (n ¼ 5), or modified David (n ¼ 19) techniques, 18 and the infarct exclusion techniques seemed superior on both early and late survival.…”